Complaint Investigation

Grand Trace Health And Rehabilitation

August 27, 2025 · Natchez, MS · 555 John R. Junkin Drive

Citations 1

CMS Rating 1/5

Beds 96

Provider ID 255173

Healthcare Facility

Grand Trace Health And Rehabilitation

Natchez, MS · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

GRAND TRACE HEALTH AND REHABILITATION in NATCHEZ, MS — inspection on August 27, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0842

Resident Assessment and Care Planning Deficiencies

Potential for More Than Minimal Harm

he received regular reports from his Nurse Practitioner (NP) and that the resident's behaviors were in line with the signs and symptoms of her diagnosis. He confirmed that the signs and symptoms exhibited by Resident #1 were also associated with frontotemporal dementia and that usually radiographic study may reveal the differential diagnosis. He confirmed that the resident had multiple head CT scans during her residence at the facility, read by a radiologist with no noted change or addition to the diagnosis she had at the time of admission by the facility. He stated that if he had been made aware of a new diagnosis the treatment would not have changed, because the treatments are basically the same in as much as the symptoms/behaviors were targeted and treated the same. He stated that he did not believe that the resident was inappropriately placed and said that her preexisting diagnosis would have limited her appropriateness for dementia or memory care units. He stated that since the resident had been diagnosed with impaired cognition of unknown etiology, the facility care planned and provided care in the same manner to a resident who had an official dementia diagnosis. On 8/27/25 at 4:30 PM, during an interview the Director of Nursing (DON) confirmed that Resident #1 did not have a diagnosis of dementia during her residence at the facility but did have a care planned diagnosis of impaired cognition.

She confirmed that any documentation of dementia was inaccurate.

She stated that resident diagnoses were listed in their entirety on each resident's admission record.

She confirmed that it was important for documentation to be accurate for each resident in order for staff to provide appropriate patient centered care and that inaccurate documentation could result in care for the resident that was not directed towards the needs of the resident. On 8/27/25 at 5:00 PM, during an interview the Executive Director (ED) stated that Resident #1 did not have a diagnosis of dementia during her residence at the facility but did have a care planned diagnosis of impaired cognition.

She confirmed that any documentation of dementia was inaccurate.

She confirmed that resident diagnoses were listed in their entirety on each resident's admission record.

She confirmed that it was important for documentation to be accurate for each resident in order for staff to provide patient centered care and that inaccurate documentation could result in care for the resident that was not directed towards the needs and strengths of the resident at either the facility or at other admitting facilities.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NATCHEZ, MS, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GRAND TRACE HEALTH AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.